Analisis Survival pada Penderita Gagal Ginjal Kronik dengan Komorbiditas Diabetes Melitus
Abstract
Chronic Kidney Disease (CKD) is a global public health problem with an increasing prevalence and incidence of kidney failure a poor prognosis and high treatment costs. CKD is the leading cause of death globally, the biggest cause of CKD is comorbidity with diabetes mellitus. the highest mortality occurred in the first 6-12 months undergoing hemodynamic which is 33%. The purpose of this study was to determine the age, sex, hemoglobin level, and survival time of CKD patients undergoing hemodialysis based on diabetes mellitus comorbidity. The study design was a prospective cohort, with a sample of 159 respondents. The study used data from the daily report of the hemodialysis unit Abdul Moeloek Hospital in Lampung Province, responded is new patients undergoing hemodialysis were then observed for 12 months. The analysis used a survival analysis with Cox regression. The results showed an average survival of 5 months, death occurred (event) by 47.8%, patients with CKD with Diabetes mellitus comorbidity 27.7%. Hemodialysis respondents type of female (55,3%) and male (44,7%), age less than 60 years 64.4%, hemoglobin levels less than 7 mg% (severe anemia) 28.4%. Statistical test results obtained sex p=0.602, age p=0.582, anemia p=0.567, and a history of diabetes mellitus (p=0.001 with α=0.05, (Risk Ratio=2.3). CKD Patients with comorbidities with diabetes Mellitus they are should better maintain health with a protein diet and control blood sugar.
References
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2. Indonesian Renal Registry. Report of Indonesian Renal Registry. [Online]. Tim Indonesian Renal Registry; 2018.
3. Dada SA, Inubile, Thomas, Dada OE, Akinyemi RO. Survival Pattern of Patients on Maintenance Haemodialysis for End Stage Renal Disease in a Nigerian Dialysis Centre. Archives of Nephrology and Urology. 2019;2(1):1–12.
4. Kemenkes RI. Situasi Penyakit Ginjal Kronis. Jakarta: Kementerian Kesehatan RI; 2017.
5. Hanum R, Nurhayati S, N Hasneli Y. Pengaruh Pendidikan Kesehatan Secara Individual tentang Pembatasan Asupan Cairan terhadap Pengetahuan Tentang Pembatasan Cairan dan IDWG (Interdia-lytic Weight Gain) pada Pasien Hemodia-lisis. Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau. 2015;2(2):1426–1434.
6. Schwaighofer RR, Kainz A, Kammer M, Dumfarth A, Oberbauer R. Survival Analysis of Conservative vs. Dialysis Treatment of Elderly Patients with CKD Stage 5. Plos One. 2017;12(7):1–10.
7. Ruiu DC, Moţa E, Istrate N, Văduva C, Trican E. Renal Anemia - Risk Factor for Chronic Kidney Disease. Current Health Sciences Journal. 2013;39(4):214-217.
8. Indonesian Renal Registry. Report Of Indonesian Renal Registry. [Online]. Tim Indonesian Renal Registry; 2016.
9. Umami V, Lydia A, Nainggolan G, Setiati S. Pengembangan Model Prediksi Mortalitas 3 Bulan Pertama pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis. Jurnal Penyakit Dalam Indonesia. 2015;2(3):170–182.
10. Ghonemy TA, Farag SE, Soliman SA, El-Okely A, El-Hendy Y. Epidemiology and Risk Factors of Chronic Kidney Disease in the El-Sharkia Governorate, Egypt. Saudia Journal of Kidney Diseases and Transplan-tation. 2016;27(1):117–117.
11. Triyanto E, Isworo A, Rahayu E. Model Pemberdayaan Terpadu untuk Meningkat-kan Kepatuhan Pasien Diabetes Mellitus. Media Kesehatan Masyarakat Indonesia. 2015;1(1):228–324.
12. Mousavi B. Long-Term Survival of Patients with End-Stage Renal Disease on Main-tenance Hemodialysis: a Multicenter Study in Iran. Iran Journal of Kidney Diseases. 2012;6(6):452-456.
13. Rolim FI, Santos RF. Survival of Hemodialysis Patients at a University Hospital. Brazilian Journal of Nephrology. 2014;37(1):64–71.
14. Yulianto D, Basuki H. Analisis Ketahanan Hidup Pasien Penyakit Gagal Ginjal Ginjal Kronis dengan Hemodialisis di RSUD Dr. Soetomo Surabaya. Jurnal Manajemen Kesehatan Yayasan RS Dr. Soetomo. 2017;3(1):96-108.
15. Aisara S, Azmi S, Yanni M. Gambaran Klinis Penderita Penyakit Ginjal Kronik yang Menjalani Hemodialisis di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas. 2018;7(1):42–50.
16. Arifa SI, Azam M, Handayani OWK. Faktor yang Berhubungan dengan Kejadian Penyakit Ginjal Kronik Pada Penderita Hipertensi di Indonesia. Media Kesehatan Masyarakat Indonesia. 2017;13(4):319-328.
17. Valdivia J, Gutiérrez C, Treto J, Delgado E, Méndez D, et al. Prognostic Factors in Hemodialysis Patients : Experience of a Havana Hospital. MEDICC Review. 2013;15(3):11–15.
18. Ekantari F. Hubungan antara Lama Hemodialisis dan Faktor hubungan Komorbiditas dengan Kematian Pasien Gagal Ginjal Kronik di RSUD Dr. Moewardi. [Skripsi]. Surakarta: Universitas Muham-madiyah Surakarta; 2012.
19. Hengkesa P, Lawalata IV. Faktor Risiko Penyakit Ginjal Kronik. Jurnal Molluca Medica. 2015;8(1):72–81.
20. Lovre D, Shah S, Sihota A, Fonseca VA. Managing Diabetes and Cardiovascular Risk in Chronic Kidney Disease Patients. Endocrinology and Metabolism Clinics of North America. 2018;47(1):237–257.
21. Vijayan M, Radhakrishnan S, Abraham G, Mathew M, Sampathkumar K, Mancha NP. Diabetic Kidney Disease Patients on Hemodialysis: A Retrospective Survival Analysis Across Different Socioeconomic Groups. Clinical Kidney Journal. 2016;9(6):833–838.
22. Pranandari R, Supadmi W. Faktor Risiko Gagal Ginjal Kronik di Unit Hemodialisis RSUD Wates Kulon. Majalah Farmaseutik. 2015;11(2):316–320.
Authors
Muhani, N., & Sari, N. (2020). Analisis Survival pada Penderita Gagal Ginjal Kronik dengan Komorbiditas Diabetes Melitus. Media Kesehatan Masyarakat Indonesia, 16(2), 216-224. https://doi.org/10.30597/mkmi.v16i2.9047
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